Individual
DR. ANTHONY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6015 FAYETTEVILLE STREET, SUITE 114, DURHAM, NC 27713
(919) 957-7357
(919) 957-9539
Mailing address
6015 FAYETTEVILLE RD, SUITE 114, DURHAM, NC 27713-6254
(919) 957-7357
(919) 957-9539
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2606
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000210
—
NC
Enumeration date
01/03/2007
Last updated
08/06/2018
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